| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
420 |
389 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
269 |
244 |
$13K |
| 80053 |
Comprehensive metabolic panel |
79 |
65 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
87 |
71 |
$1K |
| 80061 |
Lipid panel |
19 |
12 |
$572.91 |
| 84439 |
|
19 |
12 |
$348.04 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
19 |
12 |
$337.47 |
| 93000 |
|
13 |
13 |
$248.71 |
| 36415 |
Collection of venous blood by venipuncture |
97 |
53 |
$200.72 |
| 96127 |
|
31 |
30 |
$87.92 |
| 82044 |
|
13 |
13 |
$52.58 |
| 81002 |
|
16 |
16 |
$37.18 |
| 3008F |
|
34 |
28 |
$0.24 |
| 1036F |
|
14 |
12 |
$0.11 |